ATI RN
Conception and Fetal Development NCLEX Questions Questions
Question 1 of 5
What patient may need laparoscopic surgery?
Correct Answer: D
Rationale: The correct answer is D because laparoscopic surgery is commonly used to diagnose and treat endometriosis due to its ability to visualize and remove endometrial implants. Patients with suspected endometriosis often have symptoms like pelvic pain and infertility, making laparoscopy a suitable option for both diagnosis and treatment. Choices A, B, and C are incorrect as they do not typically require laparoscopic surgery. Low antral follicle count and elevated prolactin levels are more related to infertility evaluations, while patent fallopian tubes on hysterosalpingogram indicate normal tubal patency and do not necessarily warrant laparoscopic intervention.
Question 2 of 5
A male patient is diagnosed with low sperm count as the cause of infertility. Which interventions will the nurse recommend to improve the patient’s sperm count? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Yoga or relaxation techniques. Stress can negatively impact sperm count, so relaxation techniques like yoga can help reduce stress levels and improve sperm count. Surgical repair of an inguinal hernia (Choice B) is unrelated to sperm count. Switching to cotton underwear (Choice C) may help with ventilation, but it does not directly impact sperm count. Avoiding hot showers (Choice D) can prevent overheating of the testicles, but it is not as effective as stress reduction techniques in improving sperm count.
Question 3 of 5
What is the purpose of maternal assays and multiple marker screenings performed in the first trimester of pregnancy?
Correct Answer: B
Rationale: The correct answer is B: to assess the risk of chromosomal abnormalities in the fetus. Maternal assays and multiple marker screenings in the first trimester are used to evaluate the risk of conditions like Down syndrome. These tests measure levels of certain proteins and hormones in the mother's blood to assess the likelihood of chromosomal abnormalities in the fetus. Options A, C, and D are incorrect because determining the gender of the fetus, monitoring placental growth, and detecting maternal infections are not the primary purposes of these screenings in the first trimester.
Question 4 of 5
What routine lab tests should a pregnant person have in the first trimester? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D: thyroid function tests. During pregnancy, thyroid function is crucial for the health of the mother and baby. Thyroid disorders can lead to complications. Testing thyroid function in the first trimester helps detect any abnormalities early. A, B, and C are commonly performed tests in pregnancy, but they are not specific to the first trimester. A CBC helps assess overall health, blood type and Rh factor are important for identifying potential blood type incompatibilities, and urinalysis can indicate urinary tract infections or other issues. However, these tests are not unique to the first trimester and are typically done throughout pregnancy.
Question 5 of 5
Why might a provider recommend percutaneous umbilical blood sampling? Select all that apply.
Correct Answer: B
Rationale: Percutaneous umbilical blood sampling is recommended to detect Down syndrome accurately by analyzing fetal blood. This is because it directly tests the fetal blood for chromosomal abnormalities like Down syndrome, providing a definitive diagnosis. Other choices are incorrect because A does not specify the need for a direct blood test, C is too general, and D can be determined using other non-invasive methods like amniocentesis.